NPI 1053469171

Chester Overbay Smith, MEDLPC

Practitioner Professional Counselor Clayton, MO

Practice location

Address: 225 S Meramec Ave Suite 214, Clayton, MO 63105-3511
Phone: (314) 721-7885
Fax: (314) 721-3611

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 000726 (MO)

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Registry record

NPI: 1053469171
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.